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@isabelle7

@windyshores

Thanks for the info. I remember you saying one was good for adjusting the dose but couldn't remember which one. Thanks for clarifying. It's great that there's an alternative to the Forteo if for some reason it doesn't work for someone. So good to know.

Have you taken Evenity? I'm still a little confused as to when a person would take which drug.

My takeaway is that for my husband's condition (steroid-induced osteoporosis with a -3.4 lumber spine t-score) it would be best to start with Forteo for about two years. Then go on either Fosamax or Reclast. Where I'm confused is - when does Evennity come into the picture? Would it be in addition to say Forteo and Reclast or would it be instead of one of those, and at which time?

I'm sorry for all the questions. Treating osteoporosis is quite confusing and complex especially when doctors don't seem to either know or bother to tell us what's best. They were just going to start him on Fosamax without using something like Forteo or Tymlos. He started on 30 mg prednisone in 5/2023 for PMR, tapered to 12.5 by 2/2024, developed GCA, at 80 mg for a month (with three 1200 mg infusions of prednisilone) in 2/2024 and has tapered to 20 mg using Actemra weekly injections.

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Replies to "@windyshores Thanks for the info. I remember you saying one was good for adjusting the dose..."

@isabelle7 we generally do either Tymlos or Forteo, which are similar, OR Evenity though a few have done Evenity after Forteo or Tymlos. There is no data on that as yet. We all do Reclast or Fosamax or other bisphosphonate after these other drugs to "lock in" gains. It seems complicated, I know, but there aren't that many options honestly! The effects of steroids are complicated though and I hope things get better for him.